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Health technology assessment in osteoporosis

Health technology assessment in osteoporosis
Health technology assessment in osteoporosis
We review the various aspects of health technology assessment in osteoporosis, including epidemiology and burden of disease, and assessment of the cost-effectiveness of recent advances in the treatment of osteoporosis and the prevention of fracture, in the context of the allocation of health-care resources by decision makers in osteoporosis. This article was prepared on the basis of a symposium held by the Belgian Bone Club and the discussions surrounding that meeting and is based on a review and critical appraisal of the literature. Epidemiological studies confirm the immense burden of osteoporotic fractures for patients and society, with lifetime risks of any fracture of the hip, spine, and forearm of around 40 % for women and 13 % for men. The economic impact is also large; for example, Europe’s six largest countries spent €31 billion on osteoporotic fractures in 2010. Moreover, the burden is expected to increase in the future with demographic changes and increasing life expectancy. Recent advances in the management of osteoporosis include novel treatments, better fracture-risk assessment notably via fracture risk algorithms, and improved adherence to medication. Economic evaluation can inform decision makers in health care on the cost-effectiveness of the various interventions. Cost-effectiveness analyses suggest that the recent advances in the prevention and treatment of osteoporosis may constitute an efficient basis for the allocation of scarce health-care resources. In summary, health technology assessment is increasingly used in the field of osteoporosis and could be very useful to help decision makers efficiently allocate health-care resources
0171-967X
1-14
Hiligsmann, M.
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Kanis, J.A.
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Compston, J.
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Cooper, C.
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Flamion, B.
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Bergmann, P.
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Body, J.J.
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Boonen, S.
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Bruyere, O.
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Devogelaer, J.P.
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Goemaere, S.
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Kaufman, J.M.
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Rozenberg, S.
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Reginster, J.Y.
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Hiligsmann, M.
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Kanis, J.A.
8da04a36-08a7-4310-b4b4-a6d432439587
Compston, J.
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Cooper, C.
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Flamion, B.
f5efa657-827d-4b5f-8457-0a05365c63f4
Bergmann, P.
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Body, J.J.
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Boonen, S.
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Bruyere, O.
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Devogelaer, J.P.
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Goemaere, S.
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Kaufman, J.M.
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Rozenberg, S.
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Reginster, J.Y.
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Hiligsmann, M., Kanis, J.A., Compston, J., Cooper, C., Flamion, B., Bergmann, P., Body, J.J., Boonen, S., Bruyere, O., Devogelaer, J.P., Goemaere, S., Kaufman, J.M., Rozenberg, S. and Reginster, J.Y. (2013) Health technology assessment in osteoporosis. Calcified Tissue International, 93 (1), 1-14. (doi:10.1007/s00223-013-9724-8.). (PMID:23515633)

Record type: Article

Abstract

We review the various aspects of health technology assessment in osteoporosis, including epidemiology and burden of disease, and assessment of the cost-effectiveness of recent advances in the treatment of osteoporosis and the prevention of fracture, in the context of the allocation of health-care resources by decision makers in osteoporosis. This article was prepared on the basis of a symposium held by the Belgian Bone Club and the discussions surrounding that meeting and is based on a review and critical appraisal of the literature. Epidemiological studies confirm the immense burden of osteoporotic fractures for patients and society, with lifetime risks of any fracture of the hip, spine, and forearm of around 40 % for women and 13 % for men. The economic impact is also large; for example, Europe’s six largest countries spent €31 billion on osteoporotic fractures in 2010. Moreover, the burden is expected to increase in the future with demographic changes and increasing life expectancy. Recent advances in the management of osteoporosis include novel treatments, better fracture-risk assessment notably via fracture risk algorithms, and improved adherence to medication. Economic evaluation can inform decision makers in health care on the cost-effectiveness of the various interventions. Cost-effectiveness analyses suggest that the recent advances in the prevention and treatment of osteoporosis may constitute an efficient basis for the allocation of scarce health-care resources. In summary, health technology assessment is increasingly used in the field of osteoporosis and could be very useful to help decision makers efficiently allocate health-care resources

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Published date: July 2013
Organisations: Human Development & Health

Identifiers

Local EPrints ID: 355428
URI: http://eprints.soton.ac.uk/id/eprint/355428
ISSN: 0171-967X
PURE UUID: 7aceb2c2-3ded-4f1f-b3cd-e8a1371147af
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 09 Aug 2013 14:01
Last modified: 28 Oct 2023 01:42

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Contributors

Author: M. Hiligsmann
Author: J.A. Kanis
Author: J. Compston
Author: C. Cooper ORCID iD
Author: B. Flamion
Author: P. Bergmann
Author: J.J. Body
Author: S. Boonen
Author: O. Bruyere
Author: J.P. Devogelaer
Author: S. Goemaere
Author: J.M. Kaufman
Author: S. Rozenberg
Author: J.Y. Reginster

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